Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Wisconsin for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Wisconsin only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Wisconsin (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Mchs Hospitals Inc (NPI 1942749387)

Key Findings

Field	Value
Entity Type	Organization
Organization	Mchs Hospitals Inc
Address	611 N Saint Joseph Ave
City	Marshfield
State	WI
ZIP	54449
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	February 17, 2017

Payer Source	Total Paid
Medicaid	$45.3M
Medicare	$0

MCHS HOSPITALS INC reports no Medicare billing on file and a lifetime Medicaid revenue of $45.3M, making Medicaid effectively its sole documented payer in the available claims data; this pattern identifies the provider as functionally single‑payer (Medicaid) at the dataset level and limits cross‑payer comparisons. The facility’s NPI was enumerated on 2017-02-17 (≈9 years ago), indicating an established presence in the state Medicaid market over most of the last decade.

Revenue is highly concentrated in outpatient evaluation-and-management services: the top three Medicaid codes (99214, 99213, 99215) account for 48.0% of the provider’s total Medicaid revenue. Those three codes individually appear as $6M (99214), $4.5M (99213), and $1.9M (99215), which signals that office and outpatient E/M visits — spanning low to high complexity — are the primary revenue drivers for this organization.

Competitive standing for core ambulatory E/M is very strong: 99214 ranks #20 of 1628 providers in-state (99th percentile; notably above typical state volume) and 99213 ranks #26 of 1755 providers in-state (99th percentile; notably above typical state volume). 99215 is a particular outlier for high-complexity visits, ranking #5 of 349 providers in-state (99th percentile; extreme outlier, far above typical state volume), which implies substantial capacity to manage higher-acuity outpatient cases compared with most in-state peers.

The provider’s service mix extends beyond primary E/M to emergency, infusion, and procedural services. Emergency department codes 99283/99284/99285 appear in the top code list (combined presence across low, moderate, and high ED complexity), suggesting an active ED throughput; infusion-related codes 96361 ($1.5M) and 96365 ($403.1K) indicate routine IV fluid and infusion services, and 43239 ($599.4K) signals facility capability for upper endoscopy/biopsy procedures. These lines together point to a mixed hospital operation with ambulatory clinic, ED, infusion, and procedural capacity.

Clinical support and lab capabilities are visible in high-volume diagnostic codes: comprehensive metabolic panel 80053 (36.7K claims, $660.4K) and CBC 85025 (48.4K claims, $387.3K) plus molecular infectious testing U0003 and multiplex respiratory testing 87637 demonstrate in-house or closely affiliated lab throughput for routine chemistry/hematology and high-volume infectious disease diagnostics. While several of these lab codes are described as typical or unremarkable in-state volume, their absolute claim counts indicate substantial testing activity that supports both inpatient and outpatient services.

Behavioral health and specialized testing are meaningful revenue contributors: psychotherapy 90834 reports $535.1K (typical state volume), while neuropsychological testing 96139 generates $377.7K and ranks #1 of 25 providers in-state (100th percentile; extreme outlier, far above typical state volume). The presence of 96139 as an extreme outlier alongside sizable psychotherapy volume suggests a distinct behavioral health/testing specialization that differentiates the provider within the state Medicaid market.

Several consultation and high-complexity outpatient consult codes are unusually concentrated: 99245 is $386.5K and ranks #1 of 21 providers in-state (100th percentile; extreme outlier), and 99244 and 99243 both rank #2 among their peer sets (98th percentile; extreme outlier / notably above typical state volume). This pattern indicates the provider is a leading in-state destination for high-complexity outpatient consultations and specialty evaluation services.

Not all high-volume codes are outliers—many diagnostic and ED codes are characterized as typical, unremarkable statewide volumes (for example, 96361, 96365, 80053, 85025, 99283/99284/99285). Those typical-code volumes, combined with the facility’s dominant standing on selected consult and E/M codes, paint a picture of a broadly capable rural acute care hospital that concentrates market share in ambulatory E/M and specialized consultation/test services while maintaining routine inpatient and ED throughput.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

619 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	85,120	$70	$6M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	69,080	$70	$4.5M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	22,780	$80	$1.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	14,130	$110	$1.5M
T2023	Targeted case management; per month	3,840	$370	$1.4M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	16,530	$60	$992K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	10,770	$70	$786.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	13,080	$50	$667.1K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	36,690	$20	$660.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	13,960	$50	$642.3K

Showing 1–10 of 619

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Wisconsin providers billing the same CPT/HCPCS codes.

Claims Volume vs. Wisconsin Distribution

Mchs Hospitals Inc — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. Wisconsin median

619 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2023	Targeted case management; per month	3	10	10,060	$410	$6.6M
99199	Use this code to report other medicine services or procedures for which there is no specific code available.	57	60	16,890	$60	$2.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	16	140	3,200	$160	$1.1M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	49	360	1,550	$70	$614.4K
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	59	430	760	$60	$484.6K
J0178	Injection, aflibercept, 1 mg	10	10	660	$500	$479.6K
J0585	Injection, onabotulinumtoxina, 1 unit	11	30	550	$240	$428.8K
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	53	190	1,790	$90	$390.9K
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	25	40	150	$530	$381.9K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	22	140	2,200	$90	$358.4K

Showing 1–10 of 619

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.4M
Family Health Center Of Marshfield Inc	WI	Federally Qualified Health Center (FQHC)	$0	$3.2M
Marriage & Family Health Services, Ltd.	WI	Adolescent and Children Mental Health Clinic/Center	$0	$2.6M
Mchs Hospitals Inc	WI	Land Ambulance	$1.4M	$987.9K
School District Of Marshfield	WI	Local Education Agency (LEA)	$0	$1.7M
Total Renal Care Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.3M
City Of Marshfield	WI	Land Ambulance	$200K	$484.6K
Lori Bents	WI	Chiropractor	$27.4K	$399.4K
Yan Guo	WI	Ophthalmology Physician	$318.7K	$0
Yi Hsieh	WI	Urology Physician	$299K	$0

Mchs Hospitals Inc — Billing Profile & Reimbursement Data

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Mchs Hospitals Inc — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Health Center Of Marshfield Inc	WI	Dental Clinic/Center	$0	$20.4M
Marshfield Clinic Inc	WI	Clinic/Center	$526.8K	$19.6M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$11.8M
Lakeview Medical Center Inc Of Rice Lake	WI	Rural Acute Care Hospital	$0	$10M
Mchs Hospitals Inc	WI	Critical Access Hospital	$0	$7.4M
Flambeau Hospital Inc	WI	Critical Access Hospital	$0	$7M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$6.4M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$2.9M